De Angelis Francesca, Savino Ketty, Colombo Alessandro, Sardone Mariagrazia, Ambrosio Giuseppe
Department of Cardiology and Cardiovascular Pathophysiology, University of Perugia, Perugia, Italy.
Department of Cardiology, Perugia Hospital, Perugia, Italy.
J Cardiovasc Echogr. 2019 Jan-Mar;29(1):35-38. doi: 10.4103/jcecho.jcecho_28_18.
Transitional atrioventricular (AV) septal defects are uncommon congenital heart defects, and diagnosis is usually made in childhood. We present the case of intermediate AV canal diagnosed in a man referring to cardiological examination for the first time in his life at the age of fifty for exertional dyspnea. The absence of medical examination or execution of electrocardiogram or echocardiogram in childhood or in youth and the very late appearance of symptoms lead to a late diagnosis of this congenital heart disease (CHD). This case underlines the importance of including CHD in the differential diagnosis of symptoms such as chronic dyspnea, also in adulthood.
过渡型房室间隔缺损是一种罕见的先天性心脏缺陷，通常在儿童期确诊。我们报告一例中度房室通道病例，该病例为一名50岁男性，因劳力性呼吸困难首次到心脏病科就诊。其在儿童期或青少年期未进行医学检查、未做心电图或超声心动图检查，且症状出现很晚，导致这种先天性心脏病的诊断延迟。该病例强调了即使在成年期，也应将先天性心脏病纳入慢性呼吸困难等症状的鉴别诊断中的重要性。
